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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />, Departlent of EnviroDlental RequIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />, Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />, Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, US EnviroDlental Protection Aqency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YDUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RE G YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND P "NOTICE OF C(JftItE "E
<br />
<br />
<br />/.~~
<br />
<br />r. SIGNATURE: DINER OR AGENT
<br />
<br />STATE OF flORIDA /f
<br />COUNTY OF /' ~ c..c;:::;
<br />The foregoing in~~ument was acknowledged
<br />before me this ~/~ ,19~ by
<br />I
<br />
<br />who 'i~~~it~~ow~~~hO has
<br />
<br />produced
<br />as identification and who did/did not
<br />take an ~h. .. ../
<br />~~~
<br />(Sig~ature) .
<br />
<br />STATE OF FlORJPA
<br />COUNTY OF f;J s C {j
<br />The foregoing instrument was acknowledged
<br />befc,re me this Sl'ftE/J1I3E,,~!l19.2..i:.-- by
<br />
<br />Gf!,AJ>'j Cv NIVIIY {;. J.-)J4m
<br />who is personally kDO~ to me or who has
<br />produced
<br />as identification and who did/did not
<br />tak~n oath (j)
<br />~~dL ,'A ~
<br />(Signature)
<br />;<os';/":F- /J.. ('()oA/Ef6
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name
<br />NOTAR
<br />
<br />
<br />, ~rliff~ ~Tm~tfifil!ld
<br />~ ,,/;) ,r,~Ap.:,<fo.:~~l!R.N~,F:..O
<br />>l- COMr,1/..",,,_c'J Nd"i!:;ER
<br />~r c~ ;. ",; ~:' ,:1 ;2' /~ 0 ~~~
<br />-y~ <f MY CO!~:M;:;:.;~:;:;N C.;~;7l.
<br />, OF FI,O M:..... rl.:...-~.:!.~;2,~L,~,-,
<br />
<br />#\";~W'P(;/",,,
<br />~~..,_..,..,~~\ ROSALIE R, COONER
<br />f~f.''''''- fA'd
<br />~ . ~ ).! ~rotary I"ublic State 0 on a
<br />\~ / ~:I- My Comm, Exp, Apr. 17. 1998
<br />,..... --,.....~,' 362892
<br />"""'!!..!.~~''''' Comm, No. CC
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